Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roxann Kacos, LLMSWCADC

Individual provider Clinical Social Worker · NPI 1164842936

Roxann Kacos, LLMSWCADC is a Clinical Social Worker in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

3300 36th St SE
Grand Rapids, MI 49512-2810
Phone: (616) 942-7294
Fax: (616) 942-9548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 611 N State St, Stanton, MI 48888-9702 — (989) 831-7520

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801095912 (MI)

Record details

NPI number1164842936
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSWCADC
Sole proprietorNo
NPI enumeratedApril 21, 2014
Last updated in NPPESFebruary 27, 2019

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